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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN"><HTML><HEAD><META NAME="description" content="High Circles offer a vast and comprehensive range of luxurious In-door and Out-door furniture"><META NAME="keyword" content="furniture, meuble, teak, jati, bamboo, bambo, rattan, rotan, garden, indonesia, jepara, bali"><script language="JavaScript">// function that displays status bar messagefunction dm(msgStr) { document.returnValue = false; if (document.images) { window.status = msgStr; document.returnValue = true; }}</script> <META HTTP-EQUIV="Content-Type" CONTENT="text/html;CHARSET=iso-8859-1"> <TITLE>High Circles, Online Form</TITLE></HEAD><BODY BACKGROUND="MainPage/backboldflip.jpg" TEXT="#000000" LINK="#0000FF" VLINK="#0000FF"ALINK="#440000" border="#ff0000" TOPMARGIN="16" LEFTMARGIN="10" MARGINWIDTH="10"MARGINHEIGHT="16"><FORM ACTION="/cgi-bin/highcircles-form.pl" METHOD="POST" ENCTYPE="application/x-www-form-urlencoded"><CENTER><P><TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" WIDTH="550"> <TR> <TD COLSPAN="2"><INPUT TYPE="HIDDEN" NAME="recipient" SIZE="-1" VALUE="hc@highcircles.com"><INPUT TYPE="HIDDEN" NAME="redirect" SIZE="-1" VALUE="http://www.highcircles.com/thanks.html"><INPUT TYPE="HIDDEN" NAME="required" SIZE="-1" VALUE="realname,email,Company"><INPUT TYPE="HIDDEN" NAME="subject" SIZE="-1" VALUE="Response From HighCircles' Web Site"> <TABLE BORDER="1" WIDTH="100%"> <TR HEIGHT="91"> <TD WIDTH="25%" HEIGHT="91"><A HREF="index.html"><IMG SRC="MainPage/LOGOHC.gif" WIDTH="132" HEIGHT="90" ALIGN="BOTTOM" BORDER="0"></A></TD> <TD WIDTH="75%" HEIGHT="91" VALIGN="BOTTOM"> <H1 ALIGN="RIGHT">Contact </TD> </TR> </TABLE> </TD> </TR> <TR> <TD WIDTH="14">&#160;</TD> <TD>&#160;</TD> </TR> <TR> <TD WIDTH="14">&#160;</TD> <TD> <DIV ALIGN="RIGHT"> <P><A HREF="#menu"><IMG SRC="bottom.gif" WIDTH="15" HEIGHT="15" ALIGN="BOTTOM" BORDER="0"></A></DIV> </TD> </TR> <TR> <TD WIDTH="14">&#160;</TD> <TD> <TABLE BORDER="0" WIDTH="526"> <TR> <TD COLSPAN="2">Please fill in the form below and send.</TD> <TD WIDTH="282" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT COLOR="#0033FF">*</FONT><FONT COLOR="#0000FF"> </FONT>= Field Required </TD> </TR> <TR> <TD COLSPAN="3"><HR> </TD> </TR> <TR> <TD WIDTH="94" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT SIZE="5">Full Name</FONT> </TD> <TD COLSPAN="2"><INPUT TYPE="TEXT" NAME="realname" SIZE="47"> <FONT COLOR="#0000FF">*</FONT></TD> </TR> <TR> <TD WIDTH="94" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT SIZE="5">E-mail Address</FONT> </TD> <TD COLSPAN="2"><INPUT TYPE="TEXT" NAME="email" SIZE="47"> <FONT COLOR="#0000FF">*</FONT></TD> </TR> <TR> <TD WIDTH="94" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT SIZE="5">Company/<BR> Organization</FONT> </TD> <TD COLSPAN="2"><INPUT TYPE="TEXT" NAME="Company" SIZE="47"><FONT COLOR="#0033FF">*</FONT></TD> </TR> <TR> <TD WIDTH="94" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT SIZE="5">Business Interest</FONT> </TD> <TD COLSPAN="2"> <SELECT NAME="Business Interest"> <OPTION SELECTED>---Please Select-----</OPTION> <OPTION>Furniture Supplier</OPTION> <OPTION>Furniture Retailer</OPTION> <OPTION>Furniture WholeSaler</OPTION> <OPTION>Personal Purpose</OPTION> <OPTION>ShowRoom Purpose</OPTION> <OPTION>Other...(please specify)</OPTION> </SELECT> <BR> <BR> <FONT SIZE="4" COLOR="#000000"><EM>Other...(please specify below):</EM></FONT><BR> <BR> <INPUT TYPE="TEXT" NAME="Other Interest" SIZE="47"></TD> </TR> <TR> <TD WIDTH="94" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT SIZE="5">Contact</FONT> </TD> <TD COLSPAN="2"><FONT SIZE="4" COLOR="#000000">Telephone:</FONT><INPUT TYPE="TEXT" NAME="Telephone" SIZE="25"><BR> <BR> <FONT SIZE="4" COLOR="#000000">Facsimile :</FONT><INPUT TYPE="TEXT" NAME="Facsimile" SIZE="25"></TD> </TR> <TR> <TD WIDTH="94" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT SIZE="5">Address</FONT> </TD> <TD COLSPAN="2"><INPUT TYPE="TEXT" NAME="Address" SIZE="47"></TD> </TR> <TR> <TD WIDTH="94" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT SIZE="5">City</FONT> </TD> <TD COLSPAN="2"><INPUT TYPE="TEXT" NAME="City" SIZE="47"></TD> </TR> <TR> <TD WIDTH="94" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT SIZE="5">ZIP</FONT> </TD> <TD COLSPAN="2"><INPUT TYPE="TEXT" NAME="City" SIZE="13"></TD> </TR> <TR> <TD WIDTH="94" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT SIZE="5">Country</FONT> </TD> <TD COLSPAN="2"><INPUT TYPE="TEXT" NAME="Country" SIZE="48"></TD> </TR> <TR> <TD WIDTH="94" VALIGN="TOP"> <P ALIGN="RIGHT"><FONT SIZE="5">Message</FONT> </TD> <TD COLSPAN="2"><TEXTAREA NAME="Message" ROWS="6" COLS="65"></TEXTAREA></TD> </TR> <TR> <TD COLSPAN="3"><HR SIZE="4"> </TD> </TR> <TR> <TD WIDTH="94"></TD> <TD WIDTH="74%"><INPUT TYPE="SUBMIT" NAME="Submit" VALUE="Send to High Circles"></TD> <TD WIDTH="282"><INPUT TYPE="RESET" NAME="Reset" VALUE="Delete Entry"></TD> </TR> <TR> <TD COLSPAN="3"></TD> </TR> </TABLE> </TD> </TR> <TR> <TD WIDTH="14">&#160;</TD> <TD>&#160;</TD> </TR> <TR> <TD HEIGHT="20" COLSPAN="2"> <P><HR SIZE="3"></P> <CENTER> <P><FONT COLOR="#000000">Copyright &#169; 1999<BR> High Circles Furniture Specialist</FONT></P> <P><FONT COLOR="#000000">Allrights Reserved<BR> High Circles Furniture Specialist <BR> Jln. By Pass Ngurah Rai No. 33, Kuta, Bali, Indonesia<BR> Tel. / Fax. : ++62-361-721 554</FONT></P> <P><A HREF="mailto:hc@highcircles.com"><I>hc@highcircles.com</I></A></P> <P><FONT COLOR="#000000">Last updated: </FONT><FONT COLOR="#AA0000">31 Jan, 2000</FONT></CENTER> </TD> </TR> <TR> <TD WIDTH="14">&#160;</TD> <TD>&#160;</TD> </TR> <TR> <TD COLSPAN="2"> <TABLE BORDER="0" WIDTH="100%"> <TR> <TD><A HREF="index.html"><IMG SRC="back.gif" WIDTH="15" HEIGHT="15" ALIGN="BOTTOM" BORDER="0"></A></TD> <TD> <DIV ALIGN="RIGHT"> <P><A HREF="#top"><IMG SRC="up.gif" WIDTH="15" HEIGHT="15" ALIGN="BOTTOM" BORDER="0"></A></DIV> </TD> </TR> <TR> <TD COLSPAN="2"> <TABLE BORDER="2" WIDTH="100%"> <TR> <TD WIDTH="33%" BGCOLOR="#FFFFFF"> <CENTER> <P><A NAME="menu"></A><A HREF="overview.html"><FONT SIZE="2" FACE="Arial">Product Overview</FONT></A></CENTER> </TD> <TD WIDTH="33%" BGCOLOR="#FFFFFF"> <CENTER> <P><A HREF="newproduct.html"><FONT SIZE="2" FACE="Arial">New Product</FONT></A>...<IMG SRC="new.gif" WIDTH="28" HEIGHT="11" ALIGN="BOTTOM" BORDER="0"></CENTER> </TD> <TD WIDTH="34%" BGCOLOR="#FFFFFF"> <P ALIGN="CENTER"><A HREF="terms.html"><FONT SIZE="2" FACE="Arial">Terms &amp; Conditions</FONT></A> </TD> </TR> <TR> <TD WIDTH="33%" BGCOLOR="#FFFFFF"> <P ALIGN="CENTER"><A HREF="catalogue.html"><FONT SIZE="2" FACE="Arial">Online Catalogue</FONT></A> </TD> <TD WIDTH="33%" BGCOLOR="#FFFFFF"> <P ALIGN="CENTER"><A HREF="finishing.html"><FONT SIZE="2" FACE="Arial">Standard Finishing</FONT></A> </TD> <TD WIDTH="34%" BGCOLOR="#663300"> <P ALIGN="CENTER"><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial">Contact</FONT> </TD> </TR> </TABLE> </TD> </TR> </TABLE> </TD> </TR></TABLE><!-- BEGIN BANNER CODE --></P><P><A HREF="http://www.hgbe.com/cgi-bin/redirect.cgi?a=770p1&s=468x60" target="_top"><IMGSRC="http://www.hgbe.com/cgi-bin/barimage.cgi?a=770p1&s=468x60" WIDTH="468" HEIGHT="60"ALIGN="BOTTOM" ALT="Image Loading....." 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